Background: Chikungunya (CHIK) virus can lead to multiple rheumatological and non-rheumatological chronic consequences, including the pCHIK chronic inflammatory rheumatism (pCHIK-CIR). However, this last is no necessarily often screened and diagnosed, even in CHIK-endemic areas. The, we assessed if after the introduction and circulation of CHIK the attention and diagnoses of arthropathies was increased in Colombia. Methods & Materials: An ecological study was conducted using data from the nationwide Colombian health information system RIPS (Individual Record of Health Services Provision), assessing the incidence of arthropaties (M00.0-M25.9) and from surveillance for CHIK, during the period 2014-2015. CHIK was introduced in late 2014 to Colombia. An analysis of the trend of arthropaties for the previous period (2012-2014, preCHIK) was done. Linear regression models were run between CHIK (independent variable) and arthropaties (dependent variables) (p < 0.05), using licensed Stata IC 14®. Results: From January 2012 to August 2014 (preCHIK), there were between 9,200 to 17,000 month cases of arthropaties (288-308 cases/100,000 pop). At the epidemics beginning, 2014, the report of arthropaties increased in 126%, with rates ratios 1.24 times higher (358.15 cases/100,000 poop), then, decreasing mildly to 2015. At the regression models, between CHIK and arthropaties for 2014-2015, there was a strong significant association (r2 = 0.9761; p = 0.0037). Juvenile arthritis was the diagnosis with highest increase, 36.8% from 2012-2013 to 2014-2015. Conclusion: Accurate population impact of CHIK on rheumatological and chronic diseases is still to be better defined. It would be possible that present findings reflect diagnostics where if patients are de novo assessed would be serologically positive for CHIK, using IgG, which would be still positively high up to 36 months post-infection. Nationwide and population based studies of pCHIK-CIR are required. Extensive studies assessing all the rheumatological conditions that would be yield after infection are also needed. Finally, pCHIK-CIR should be included in the surveillance and notification, however, is not yet a specific condition at the International Classification of Diseases (ICD-10), something expectable to change in the upcoming ICD-11, as proposed by our group to the World Health Organization.
Tópico:
Autoimmune and Inflammatory Disorders Research
Citaciones:
0
Citaciones por año:
No hay datos de citaciones disponibles
Altmétricas:
0
Información de la Fuente:
FuenteInternational Journal of Infectious Diseases